{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T00:19:04Z","timestamp":1790381944144,"version":"4.1.0"},"reference-count":22,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:p>The authors report a case of a recurrent pediatric ventral pontine ependymoma that they resected through an endonasal endoscopic transclival approach. Regarding the options for a surgical approach to ventral pontine tumors, traditional far-lateral approaches are associated with considerable morbidity due to the required muscle mobilization, brain retraction, and in-line obstruction of cranial nerves before reaching the target. The endoscopic endonasal transclival approach was made appealing by eliminating all of these concerns. The patient's fully pneumatized sphenoid sinus, laterally displaced basilar artery, and the direct ventral location of the bulky disease all further supported this unconventional choice of surgical corridor to achieve a palliative brainstem decompression of an incurable recurrence.<\/jats:p>","DOI":"10.3171\/2013.8.peds12183","type":"journal-article","created":{"date-parts":[[2013,8,30]],"date-time":"2013-08-30T14:01:32Z","timestamp":1377871292000},"page":"465-468","source":"Crossref","is-referenced-by-count":16,"title":["Endoscopic endonasal transclival approach to a ventral pontine pediatric ependymoma"],"prefix":"10.3171","volume":"12","author":[{"given":"Prajwal","family":"Rajappa","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantinos","family":"Margetis","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitri","family":"Sigounas","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijay","family":"Anand","sequence":"additional","affiliation":[{"name":"Otolaryngology-Head and Neck Surgery, Weill Cornell Medical College, NewYork-Presbyterian Hospital, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodore H.","family":"Schwartz","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"},{"name":"Otolaryngology-Head and Neck Surgery, Weill Cornell Medical College, NewYork-Presbyterian Hospital, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey P.","family":"Greenfield","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-peds12183","series-title":"Med Pediatr Oncol","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1002\/(SICI)1096-911X(199806)30:6<319::AID-MPO1>3.0.CO;2-H","article-title":"Intracranial ependymomas in children: a critical review of prognostic factors and a plea for cooperation","volume":"30","author":"Bouffet","year":"1998"},{"issue":"2 Suppl Operative","key":"b2-peds12183","series-title":"Neurosurgery","first-page":"522","article-title":"Endoscopic transsphenoidal, transclival resection of an enterogenous cyst located ventral to the brainstem: case report","volume":"67","author":"Cobb","year":"2010"},{"key":"b3-peds12183","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"692","DOI":"10.1007\/s003810000350","article-title":"The role of the endoscopic transsphenoidal approach in pediatric neurosurgery","volume":"16","author":"de Divitiis","year":"2000"},{"issue":"4 Suppl 2","key":"b4-peds12183","series-title":"Neurosurgery","first-page":"322","article-title":"Avoidance of carotid artery injuries in transsphenoidal surgery with the Doppler probe and micro-hook blades","volume":"60","author":"Dusick","year":"2007"},{"key":"b5-peds12183","series-title":"Am J Otol","first-page":"39","article-title":"Systematic approach to intradural tumors ventral to the brain stem","volume":"16","author":"Jackler","year":"1995"},{"issue":"2 Suppl","key":"b6-peds12183","series-title":"J Neurosurg","first-page":"75","article-title":"Fully endoscopic expanded endonasal approach treating skull base lesions in pediatric patients","volume":"106","author":"Kassam","year":"2007"},{"key":"b7-peds12183","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"491","DOI":"10.1007\/s00381-006-0288-z","article-title":"Expanded endonasal approach: a fully endoscopic completely transnasal resection of a skull base arteriovenous malformation","volume":"23","author":"Kassam","year":"2007"},{"key":"b8-peds12183","series-title":"Neurosurgery","first-page":"ONSE342","article-title":"\u201cGasket-seal\u201d watertight closure in minimal-access endoscopic cranial base surgery","volume":"62","author":"Leng","year":"2008"},{"issue":"2","key":"b9-peds12183","series-title":"Neurosurg Focus","first-page":"E9","article-title":"Far-lateral transcondylar approach: surgical technique and its application in neurenteric cysts of the cervicomedullary junction. 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